B08_Past_Performance_Survey.pdf
PDF 132 KB Posted
- Attached to
- Concrete Slab - MA Federal contract opportunity
- Solicitation number
- 140FC226R0007
About this file
This is a Past or Present Performance Survey form used to document and evaluate a contractor's historical performance on completed or in-progress contracts and subcontracts.
The survey requires respondents to provide general business information including company name, address, organization date, company leadership, Dun & Bradstreet number, and business structure (partnership, separate entity, or division). The primary section requests detailed information on up to three contracts or subcontracts, whether government or commercial. For each contract, respondents must identify the contracting agency or company, point of contact, contract number, and total contract value. The form requires description of the project title, location, and general scope, along with the respondent's role as prime contractor, joint venture participant, or subcontractor. Additional required information includes the value and description of any subcontracted work, period of performance in days, scheduled and actual completion dates, and percentage of work completed. The form also requests disclosure of any terminations, implementation of quality control and safety plans, identification of any quality control or safety problems encountered, and explanation of how problems were resolved. The certification section requires the survey preparer to provide their name, phone number, email address, title, signature, and date. This template is designed to provide government agencies with standardized performance history data to evaluate contractor capability and reliability for future contract awards.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Site_Photo_2_0001.jpeg | JPEG file | |
| Sol_140FC226R0007_Amd_0001.pdf | ||
| Site_Photo_3_0001.jpeg | JPEG file | |
| Site_Photo_1_0001.jpeg | JPEG file | |
| Q_A_0001.docx | DOCX document | |
| A04_SOW.pdf | ||
| B08_Quote_Schedule.docx | DOCX document | |
| Sol_140FC226R0007.pdf | ||
| B08_Wage.pdf | ||
| A06_SOW_Specs.pdf |
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Text version
PAST OR PRESENT PERFORMANCE SURVEY
Your Company Name:
Street Address:
City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
Company President: Vice President:
Dun & Bradstreet Number: __
Is company a ; Partnership [ ] Separate entity [ ] Division [ ] N/A [ ]
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:
Point of Contact: Telephone Number:
Contract Number: Contract/Subcontract Amount: $ _____
Project Title and Location:
General Scope of Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Period of Performance: days
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
Were You Terminated?
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________
Quality Control or Safety Problems encountered (if any):
How were the problems resolved?
b. Second Contract:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
c. Third Contract:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
4. Certification of Past Performance Information:
Type or Print Information
Name of Survey Preparer _______________________________Phone:_________________
E-Mail;___________________________
Title__________________________________________
Signature______________________________________
Date__________________________________________
File details come from the government source that posted it. Updated .